| Dr Peter T Demos, MD | |
|
125 Liberty St, Ste 403, Springfield, MA 01103-1109 | |
| (413) 739-6611 | |
| Not Available |
| Full Name | Dr Peter T Demos |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 45 Years |
| Location | 125 Liberty St, Springfield, Massachusetts |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619977402 | NPI | - | NPPES |
| J06761 | Other | MA | PROVIDER NUMBER |
| 11753 | Other | MA | HNE PROVIDER NUMBER |
| 725076 | Other | MA | TUFTS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 58416 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Demos Dermatology Llc | 5890169882 | 5 |
| Entity Name | Peter T Demos Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669090445 PECOS PAC ID: 9537576962 Enrollment ID: O20210330002548 |
| Entity Name | Demos Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730804634 PECOS PAC ID: 5890169882 Enrollment ID: O20230314001487 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter T Demos, MD 125 Liberty St, Ste 403, Springfield, MA 01103-1109 Ph: (413) 739-6611 | Dr Peter T Demos, MD 125 Liberty St, Ste 403, Springfield, MA 01103-1109 Ph: (413) 739-6611 |
Michael Loosemore, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3455 Main St Ste 5, New England Dermatology & Laser Center, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 | |
Nadine P Wenner, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3455 Main St, Ste 5, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 | |
Sheila Mcmurrich, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3455 Main St Ste 5, New England Dermatology & Laser Center, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 | |
David Wartman, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3455 Main St, Ste. # 5, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 | |
Mark A Blumberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3455 Main St, Suite 5, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 | |
Stanley F Glazer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3455 Main St, Ste 5, Springfield, MA 01107 Phone: 413-733-9600 Fax: 413-732-6534 |